Funtabulously Frivolous Friday Five 186
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 186. Question 1 What is Darwin’s tubercle? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1536428471'));expand(document.getElementById('ddetlink1536428471')) A congenital ear condition which often presents as a thickening on the helix at the jun...
Source: Life in the Fast Lane - April 20, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Darwin's tubercle Dunning-Kruger effect Haglund Syndrome high heels Iran radiation radiation hormesis Ramsar Source Type: blogs

The Hurty Elbow
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog So it’s the first shift of a run of nights. A tearful mum has brought in 18-month old Bobby who is complaining of left wrist pain for around 12 hours. She believes it started after he fell on a trampoline. Ibuprofen was given with some effect prior to bed, however the pain was worse through the night. Observing Bobby: he was not using his left arm, and consistently pointing to his lateral left forearm which he described as ‘hurty’. There was no obvious deformation of the...
Source: Life in the Fast Lane - April 20, 2017 Category: Emergency Medicine Authors: Johnny Iliff Tags: Pediatrics Nursemaid's elbow pulled elbow Source Type: blogs

Research and Reviews in the Fastlane 179
This study is limited by its retrospective methods and by data originating from a single center with a bedside medical toxicology service. Recommended by: Meghan Spyres The R&R iconoclastic sneak peek icon key The list of contributors The R&R ARCHIVE R&R Hall of famer You simply MUST READ this! R&R Hot stuff! Everyone’s going to be talking about this R&R Landmark paper A paper that made a difference R&R Game Changer? Might change your clinical practice R&R Eureka! Revolutionary idea or concept R&R Mona Lisa Brilliant writing or explanation R&R Boffinta...
Source: Life in the Fast Lane - April 20, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Emergency Medicine Intensive Care Pediatrics Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Toxicology and Toxinology critical care Education literature recommendations research and reviews Source Type: blogs

LITFL Review 278
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 278th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week SGEM’s Ken Milne and Jeremy Faust—along with the help of many critical thinkers from the FOAM c...
Source: Life in the Fast Lane - April 16, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 185
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 185 with an Easter twist. Question 1 Where was Rapamycin discovered? + Reveal the Funtabulous Answer expand(document.getElementById('ddet751945380'));expand(document.getElementById('ddetlink751945380')) Easter Island (Papa Nui) If you are lucky enough to climb upto the exti...
Source: Life in the Fast Lane - April 14, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five auricular amputations bunny chocolate easter easter island egg on a string rabbit Rapamycin theobromine transposition of the great arteries tularemia Source Type: blogs

JellyBean 057 with Gracie Leo
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog There will be no SMACC in 2018. Whats going on in the good ship SMACC? I ask SMACC insider Gracie Leo and she tries her best not to tell me anything. Secret Squirrel stuff. Messrs.’ Harris, Nixon and Flower have been trying to hide their secret weapons secret. One of those secret weapons is Gracie Leo. I’ve been trying to get her to do a Jellybean for 3 years but she kept slipping away. I tried to stop myself taking offence. In Dublin I finally got her to sit down with me. ...
Source: Life in the Fast Lane - April 11, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean dasSMACC SMACCbyte Source Type: blogs

LITFL Review 277
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 277th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week All talks from the UK Intensive Care Society’s State of the Art Meeting 2016 are now available as...
Source: Life in the Fast Lane - April 9, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Geriatric Nursing ’ s top 99 nurse blogs, and I ’ m one of them!
The whole list is here, and it looks pretty good (Emergiblog is still out there, which is nice, most of the others were new to me), and then there’s the writeup they gave this humble blog: Allen is an emergency care physician from Texas who describes himself as “a grunt in the doctor world”. Having been immersed in the critical aspects of healthcare for most of his career, the Grunt Doc has certification in Emergency Medicine and is now retired, living with his family. His commentary is at times amusing, other times quick-witted and sharp – but it always manages to put a smile on our faces. That’s very ni...
Source: GruntDoc - April 9, 2017 Category: Emergency Medicine Authors: GruntDoc Tags: Amusements Blogroll MedBloggers Nursing Source Type: blogs

Funtabulously Frivolous Friday Five 184
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 184. Question 1 Where would you find Schamroth’s window? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1607287631'));expand(document.getElementById('ddetlink1607287631')) Between two opposing fingers when testing for clubbing. The normal diamond...
Source: Life in the Fast Lane - April 7, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five animal feeds antibiotics banana banana equivalent dose bed caterpillar induced bleeding syndrome clubbing lonomia caterpillars Nigel effect radiation Schamroth's Window Source Type: blogs

Physician Suicide
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog A friend of mine killed himself recently. I wouldn’t say he was a close friend, as such; the frequently discussed “beer after work” never quite materialised. This wasn’t through a lack of trying, though life always got in the way; but we had worked together over a number of years, published together and repeatedly put the world to rights over the course of long emergency department night shifts, and his death has hit me far, far harder than I would have expected. He wa...
Source: Life in the Fast Lane - April 7, 2017 Category: Emergency Medicine Authors: Andrew Tabner Tags: Work Life Balance Andrew Tabner physician suicide Type A personality Work-Life-Balance Source Type: blogs

Research and Reviews in the Fastlane 178
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the  178th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains  5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and Chris Ni...
Source: Life in the Fast Lane - April 6, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Intensive Care Pediatrics Procedure R&R in the FASTLANE Radiology Respiratory Resuscitation Toxicology and Toxinology Education emergency Emergency Medicine recommendations Review Source Type: blogs

An inadvisedly large glass of wine
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Walking out of the place where people are breathing their tortured last, hopping in the car to drive home under a golden wedge of moon trying valiantly to light up the human race. The streets are mostly empty, and the echoes of those who are losing their life are loud, and they bounce off the graffitied walls of the city. I don’t know how many times I’ve driven home from hospital at midnight, but it’s so many my car could do it on its own. But I’m always...
Source: Life in the Fast Lane - April 4, 2017 Category: Emergency Medicine Authors: Michelle Johnston Tags: Literary Medicine Source Type: blogs

LITFL Review 276
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 276th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Vitamin C in Sepsis has been all over social media and the lay press as the “cure” for severe s...
Source: Life in the Fast Lane - April 2, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Funtabulously Frivolous Friday Five 183
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 183. Question 1 The restaurant preparation of fugu is strictly controlled by law in Japan, and only chefs who have qualified after three or more years of rigorous training are allowed to prepare the fish.  What dish in Egypt is less well controlled and has resulted in deat...
Source: Life in the Fast Lane - March 31, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five albert stevens bacon boil botfly botulism fesikh furuncular myiasis manhattan project obecalp placebo plutonium radiation second fracture Source Type: blogs

Research and Reviews in the Fastlane 177
This study has some frustrating findings: they looked at 318 patients who got a CTPA within 2 weeks of a negative CTPA and found a 5% positive rate. Is CTPA like a stress test, where we just can’t predict plaque rupture? Are people who get CTPAs people who other docs are also worried about PE? Or are we just ordering too many CTPAs? How many of these were false postives or negatives? Sadly, as with most clinical research on pulmonary embolism, I am let with more questions than answers (but we probably order too many CTPAs). Recommended by: Seth Trueger Pediatrics Luck RP, et al. Cosmetic outcomes of absorbable ver...
Source: Life in the Fast Lane - March 30, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Clinical Case Education Emergency Medicine Infectious Disease Intensive Care Pediatrics R&R in the FASTLANE Radiology Respiratory Resuscitation critical care research and reviews Source Type: blogs